Article
Implications of cytochrome P450 2C9 polymorphism on warfarin metabolism and dosing.
Pharmacotherapy - 1 Feb 2001
Redman A R
Abstract excerpt
Warfarin is an anticoagulant available as a racemic mixture. The R- and S-isomers differ with respect to relative plasma concentrations, clearance, potency, sites of metabolism, and cytochrome P450 (CYP) isoenzymes responsible for metabolism. S-Warfarin, the more potent isomer, is metabolized primarily by CYP2C9. Genetic polymorphisms resulting from single amino acid substitutions reduce the metabolic capability...
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